Lancaster G, Elton P
Centre for Cancer Epidemiology, Christie Hospital NHS Trust, Withington, Manchester, United Kingdom.
J Epidemiol Community Health. 1992 Oct;46(5):523-7. doi: 10.1136/jech.46.5.523.
The aim was to determine what effect the offer of a cervical smear test when attending for breast screening has on the uptake of cervical and breast screening.
The study involved randomisation to compare uptake in those women invited for cervical screening in advance with their breast screening invitation (group 1) with those invited for breast screening only and then offered a smear test upon arrival for breast screening (group 2). The main outcome measure was improvement in the uptake of cervical screening among older women without detriment to the breast screening service.
The study took place at the Northern Hospital in North Manchester.
Participants were 2131 women aged 50-64 years invited for breast screening at the Northern Hospital in the summer of 1990.
Overall, 54% of the women who were eligible attended for breast screening, 52% attended from group 1 and 55% from group 2. Of those attending for breast screening, 957 were eligible for cervical screening and 193 (20%) had a smear test. There was a difference in the proportion tested from each group (p < 0.001), 28% had a smear test from group 1 and 13% from group 2. Forty five percent of the 193 had not had a cervical smear for at least five years.
The cervical screening facility did attract some women who were overdue for a smear test and who might not normally have attended for cervical screening, and there was no evidence to suggest that it had a detrimental effect on the breast screening uptake. An advanced cervical screening invitation seemed preferable to an invitation upon arrival at the breast screening unit.
本研究旨在确定在进行乳房筛查时提供宫颈涂片检查对宫颈和乳房筛查接受率的影响。
本研究采用随机分组的方式，比较提前收到宫颈筛查邀请并与乳房筛查邀请同时发出的女性（第1组）和仅收到乳房筛查邀请、在进行乳房筛查时才获得涂片检查机会的女性（第2组）的筛查接受率。主要观察指标是老年女性宫颈筛查接受率的提高，且不对乳房筛查服务产生不利影响。
本研究在北曼彻斯特的北部医院开展。
参与者为1990年夏季在北部医院受邀进行乳房筛查的2131名年龄在50 - 64岁之间的女性。
总体而言，符合条件的女性中有54%参加了乳房筛查，第1组的参加率为52%，第2组为55%。在参加乳房筛查的女性中，957人符合宫颈筛查条件，其中193人（20%）进行了涂片检查。两组的检查比例存在差异（p < 0.001），第1组有28%进行了涂片检查，第2组为13%。在这193人中，45%至少五年未进行宫颈涂片检查。
宫颈筛查设施确实吸引了一些 overdue for a smear test（此处原文有误，推测是“ overdue for a cervical smear test”，即 overdue for a smear test 应改为 overdue for a cervical smear test，意为“ overdue for a smear test应改为 overdue for a cervical smear test，意为“ overdue for a cervical smear test，即逾期未进行宫颈涂片检查）且可能通常不会参加宫颈筛查的女性，并且没有证据表明这对乳房筛查接受率有不利影响。提前发出宫颈筛查邀请似乎比在乳房筛查单位到达时发出邀请更为可取。
